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Contact Information

ROBERT RATZLAFF OD LLC
1128-A PASEO DEL PUEBLO SUR
7653 NDCBU
TAOS, NM87571
 Phone: 505-758-3215
 Fax: 505-751-9280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ROBERT RATZLAFF OD LLC

NPI # 1316024185
LBN Legal business name ROBERT RATZLAFF OD LLC
Authorized official ROBERT RATZLAFF - (PRESIDENT/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NM License # 474
NM Medicaid P7205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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